How can a nurse use therapeutic communication to build rapport with a client during an initial mental health assessment?

Choice A reason: Sharing personal experiences shifts focus away from the client and may blur professional boundaries. While intended to build rapport, it risks making the interaction about the nurse rather than the patient’s needs. Choice B reason: Asking direct and challenging questions can feel confrontational and may cause the client to withdraw. Therapeutic communication emphasizes safety and trust, not interrogation. Choice C reason: Active listening and empathy are the foundation of therapeutic communication. By validating the client’s feelings and showing genuine understanding, the nurse fosters trust and rapport. This approach encourages openness and supports accurate assessment. Choice D reason: Using closed-ended questions limits the client’s ability to express themselves and restricts the depth of information gathered. It can make the conversation feel controlled rather than collaborative, undermining rapport.